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Your healthcare provider can also diagnose B12 deficiency based on your medical history and physical exam

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For larger vials, community protocols reconstitute only what will be used within 4 weeks

While this effect appears to be related to the magnitude and rapidity of glucose lowering rather than a direct effect of the medication itself, patients with a history of diabetic retinopathy should undergo careful ophthalmologic evaluation before and during treatment, and the potential risks should be weighed against the expected benefits of improved glycemic control